Campus Climate Survey Validation Study Pilot Test Instrument

Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Document Name Document Type
Campus Climate Survey Validation Study Pilot Test Instrument Form and Instruction
Campus Experiences Survey E_CES survey REVISED 3-20-15.pdf Form and Instruction
Approval Notice.13633.Pretest.1-12-15.pdf IRB Approval for Pre-test IC Document
Approval Notice.13633.Amend.2-25-15.pdf IRB Approval Amended IC Document
Final CCSVS OMB clearance pilot 032015 with OMB revisions.docx Memo to OMB: CCSVS rev IC Document
Revised CES Appendix 032015.pdf attachments IC Document

Information Collection (IC) Details

IC Title:	Campus Climate Survey Validation Study Pilot Test Instrument	Agency IC Tracking Number:	BJS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Campus Experiences Survey	E_CES survey REVISED 3-20-15.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23,538	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	23,538	23,538
Annual IC Time Burden (Hours)	7,768	7,768
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IRB Approval for Pre-test	Approval Notice.13633.Pretest.1-12-15.pdf	03/12/2015
IRB Approval Amended	Approval Notice.13633.Amend.2-25-15.pdf	03/12/2015
Memo to OMB: CCSVS rev	Final CCSVS OMB clearance pilot 032015 with OMB revisions.docx	03/26/2015
attachments	Revised CES Appendix 032015.pdf	03/26/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.